Individual
JERAD WILLIAM COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 N 19TH AVE, BOZEMAN, MT 59718-3647
(406) 586-3550
(406) 586-0788
Mailing address
1400 N 19TH AVE, BOZEMAN, MT 59718-3647
(406) 586-3550
(406) 586-0788
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-65963
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P8471
PHARMACIST
ID
Enumeration date
12/08/2020
Last updated
12/08/2020
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